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Home My WebLink AboutPermit Mechanical 1993-7-20 (2) ~t@ c265.5 J)()mfJ-S \ I t'l~ 'J?-...4lf RESIDENTIAL PERMIT APPLICATION e Inspections: 726.3769 Of lice: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP: LOT' OWNER: ..ill i\ L \... r:r5 ~565 J)umAs SPI-- \ f)4 ~le .1 d. ADDRESS: CITY: DESCRIBE WORK' \!I3TAlL NEW REMODEL ADDITION CONTRACTOR'S NAME GENERA' . PLUMBING' SPRINGFIELD :::De . BLOCK' LOn! mr; rJ :DR. STAT'" OR AIR Clo 100 fYIO;i) I tV 'tb DEMOLISH OTHER . ,5 :(, tJiITO ?.3 - 103& f. ';/ \' JOB NUMBER / 225 Fifth Street '13/D3(o Springfield, Oregon 97477 Gl&B TAX LOT: o / ':l (~ SUBDIVISION' PHON'" '7LJ~ -qD3.~ ZIP: Q'7<i11 -I-z, e '/..1 S+I nCt d()duJo'r'~ I ADDRESS CON ST. CONTRACTOR' EXPIRES PHONE ELECTRICAl' Comfort Flow Heatin9-a55_~._ls~.-Eugpnp ~740? MECHANICAL: 00.41';0 R/?7/Qll . , ::l4?-R101 - OFFICE USE - OUAD AREA' S LAND USE: FLOOD PLAIN' . OF BLDGS: . OF UNITS' ZONING CODE: OCCY GROUP: CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGF' SOUARE FOOTAGE: To request an inspection, you must call 726.3769. This is a 24 hour recording. All inspections requested before 7:00 a.m. will be made the same working day. Inspections requested after 7:00 a.m. will be made the following work day. o Temporary Electric o Site Inspection - To be made , after excavation, but prior to setting forms. o Underslab Plumbing/Electrical I Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underfloor Plumbingl Mechanical _ Prior to insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. o Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS ~ROU9h Mechanical - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - PrIor to facing materials and framing Insp. o Framing - Prior to cover. o Wall/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approval and installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place. D Fence - When completed. o Street Trees - ~Vhcn all required trees are ~Ianted. o Final Plumbing - When all plumbing work is complet.e. D Final Electrical - When all electrical work Is complete. r-::::l..Pinal Mechanical - When all L.,..2!i..,mechanical work Is complete. o Final Building - When all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the servIce panel. o Final - After all required inspections are approved and porches, skirting, decks, and venting have been Installed. Lot faces . LOI Type Lot SQ. ftg. Interior Lot coverage Corner Topography Panhandle Total height Cul.de.sac BUILDING PERMIT ITEM SO. FT. X $/SO, FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) , IS THE PROPOSED WORK IN THE . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. I P.L. IN Is Iw IE Setbacks 'HSE'GAR'ACCI I I I I VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sani tary Sewer FT. FT. Water Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Ven t Fan N' Wood Stove/lnsert/Fireplace Unit Dryer Vent YV\.~ Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A. B, C, 0, and E Combined) FEE \c".OO I c,.OO JO.OO ./~ ~~ ./" _2~ .J' APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, conform to the Ordinance adopled by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Fee: Date Paid: Receipt Number. Received By: Plans Reviewed By Date Systems Development Charge is due on 'all undeveloped properties within the City limits which are being improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors and employees who arc in compliance with GRS 701.055 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all time~urin constructio Signature ~ ~/ Date 7 - :J~. VALIDATION: RECEIPT NUMBER QS75( (b Dlq~ $ ;;)~.I" ~ DATE PAID AMOUNT RECEIVEr> RECEIVED BY . . The following project ,f\II.SU\lmJ!lpd. hal3lhe loll zoning, and does not require specific land uSe 225 FIPTH STREET approval. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 l1yr'Z- '9 INSPECTION REQUEST: 726-3769 Zonina . _ _..._ _ City Job Number C) I C' "Z I'.: OFFICE: 726-3759 Date 1 ~\t\ Al'J - 'f- - l- . .. (//v"J. COMPLETE FEE SCHEDULE BELOV 1. LOCATIO~ OF INSTALLATIdHl~R:.~.ed Sigral~.e ~5 5':; ~ hQ r\J. -._qA::---New- Resl<1en tlal-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION /?,trJ 2, 'Z 2... -! 4- J 2- c... , " JOB .DESCRlPTION .,' .1. 'liJU, (!Il~ (l'm'\.n..~Q IU Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date Expiration Date S~~Ltu~~ ((,A-<- . (\ / Owners Name~lL.J ~1YYlQIYI.J Address fJ..~55 l..\J.ur<<LllAJ ~. CitY~_M~ Phone f(Lj.b-Q083 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ----------------~-~-~- --------------- DATE: 7://7; 7' J RECEIPT .:. ' C) ~f~ RECEIVED BY: re: A' ~ " Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. f t or port ion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 see "Bit above volts D.. Branch Circuits New, Alteration or Extension Per Panel 'One Circui t Each Add it i onal Circuit or with Service or Feeder Permit $ 35.00 35.0D $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL . 055'.00 I . '1 Q. ~lo. 15